Organization
BLANDFORD PHARMACY
Active
Organization
BLANDFORD PHARMACY
Active
Other names
BLANFORD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH SHOLES (OWNER PHCST)
(501) 664-4466
Entity
Organization
Contact information
Practice address
5 SAINT VINCENT CIR, STE 110, LITTLE ROCK, AR 72205-5412
(501) 664-4466
(501) 664-2360
Mailing address
5 SAINT VINCENT CIR, STE 110, LITTLE ROCK, AR 72205-5412
(501) 664-4466
(501) 664-2360
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR13283
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110965407
—
AR
01
—
1994349
PK
—
Enumeration date
11/07/2006
Last updated
03/20/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up